Ph-positive and BCR::ABL1-like acute lymphoblastic leukemia in children

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Abstract

In spite of success in pediatric acute lymphoblastic leukemia treatment, there are disease variants, where survival rates significant lower. Such unfavorable rare examples may include Ph-positive and BCR::ABL1-like acute lymphoblastic leukemia. Complex molecular and genetic diagnosis, make use substantially full range of methods (including in some cases next generation sequencing) allow correct diagnosis and make indications for targeted drugs – ruxolitinib in cases of JAK / STAT activation or dasatinib, if ABL1-kinase activated. Intensive chemotherapy with targeted drugs increased treatment effectiveness and admit withdraw from previously obligatory option – allogeneic hematopoietic stem cell transplantation. Nevertheless, for clinical recommendations in BCR::ABL1-like acute lymphoblastic leukemia treatment it is necessary to combine core facilities experience and cooperative studies.

About the authors

T. T. Valiev

N. N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University);
Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Author for correspondence.
Email: timurvaliev@mail.ru
ORCID iD: 0000-0002-1469-2365

Pediatric Oncology and Hematology Research Institute, N. N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia

Russian Federation, 23 Kashirskoe Shosse, Moscow 115522; Build. 2, 8 Trubetskaya St., Moscow 119048; Build. 1, 2 / 1 Barrikadnaya St., Moscow 125993

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